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Mission Control Company - Insurance Certificate (2019)�� ® I DATE (MM/DD/YYYY) A C" CERTIFICATE OF LIABILITY INSURANCE 07/16/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER I CONTACT Jeff Forbes NAME: ECBM, LP PHONE (610) 668-7100 FAX (610) 667-2208 AIC No. Extl: I (A/C, No): 300 Conshohocken State Rd I -MAIL )forbes ecbm.com ADDRESS: Suite 405 I INSURER(S) AFFORDING COVERAGE NAIC # West Conshohocken PA 19428 INSURER A : Lloyds of London AA1122 INSURED I INSURER B • Federal Ins. Co. 20281 Mission Controls Company Inc, DBA: MCC I INSURER C : Evanston Insurance Company 35382 305 Mayock Road, Unit H I INSURER D : INSURER E : Gilroy CA 95020 I INSURER F : COVERAGES CERTIFICATE NUMBER: 18 M REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I LTR TYPE OF INSURANCE NSD WVD POLICY NUMBER EXP (MM DDfYYYY) (MMIDD) I LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE 7 OCCUR I PREM IS Ea occurrence) $ 1,000,000 X Contractual Liability MED EXP (Any one person) $ 5,000 A VBE11291A18 06/30/2018 06/30/2019 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: AGGREGATE $ 2,000,000 POLICY � JECT PRO- � LOC IGENERAL PRODUCTS - COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 _ X ANY AUTO I BODILY INJURY (Per person) $ B =OWNED SCHEDULED (18)7355-80-72 06/30/2018 06/30/2019 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED PROPERTY DAMAGE I $ AUTOS ONLY HNON-OWNED AUTOS ONLY (Per accident) UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 C X EXCESS LIAB CLAIMS -MADE MKLV7EUL100263 06/30/2018 06/30/2019 I AGGREGATE $ 2,000,000 DED I I RETENTION $ $ WOWERS OMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE I SPER TATUTE I I ORH I E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? El N / A $ (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE S If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ Each Claim $1,000,000 Professional Liability A VBE11291A18 06/30/2018 06/30/2019 Aggregate $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) Not Applicable "Whole Certificate holder: City of Gilroy, its officers, officials and employees, 7351 Rosanna Street, Gilroy, CA 95020 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Gilroy'" ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE 0 Gilroy CA 95020 901r I ,f // ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD COMMENTS/REMARKS To the extent covered by policy and endorsements: General Liability includes, to the extent required by written contract or agreement, Blanket Additional Insured, Primary and Non-contributory, and Waiver of Subrogation. ISO forms defined to include: CG 20 37 10 01; CG 20 10 10 01; CG 24 04 10 93; CG 20 38 04 13. Automobile includes, to the extent required by written contract or agreement, Blanket Additional Insured, Primary and Non-contributory, and Wavier of Subrogation. Excess Liability includes, to the extent required by written contract or agreement Primary and Non -Contributory and Wavier of Subrogation OFREMARK COPYRIGHT 2000, AMS SERVICES INC.